Application of refined management in prevention and control of the coronavirus disease 2019 epidemic in non-isolated areas of a general hospital

Abstract

a b s t r a c tObjective: This article summarizes the experience in the prevention and control of coronavirus disease 2019(COVID-19) epidemic in non-isolated areas in a general hospital. Methods: Based on refined management theory, we professionally developed the standards for prevention and control of COVID-19 in non-isolated areas, systematically implemented various prevention and control measures, performed gridding audits, effectively communicated among teams and between medical staff and patients assisted by information techniques, and reported results for quality improvement.Results: There was no hospital-acquired COVID-19 infections among staff in the hospital. The rates of mask-wearing, epidemiological history screening, and the medical supplies disinfection were all 100% in the hospital. The accuracy rate of mask-wearing of patients and their families was 73.79% and the compliance rate of their hand hygiene was 40.78%. Conclusion: Refined management strategies for the prevention and control of COVID-19 infection in nonisolated areas of the general hospital are effective. The accuracy rate of mask-wearing and hand hygiene compliance of patients and their families need to be further improved.

The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: A scientometric analysis and scoping review

“…The biosafety of laboratories and medical facilities has also attracted the attention of researchers in relation to COVID-19 pandemic (Hamzavi et al, 2020;Sultan et al, 2020;Xu et al, 2020). For example, the study of Kooraki et al (2020) reviews precautions and safety measures specific to radiology departments in relation to dealing with known or suspected COVID-19 patients.…”

COVID-19 and healthcare workers: a rapid systematic review into risks and preventive measures

“…For instance, in a Chinese hospital the use of PPE was investigated, revealing that 100% of the staff used masks, with an accuracy rate of 73.79% only, but the compliance rate of hand hygiene of all staff was limited to 40.78%. 50 Reasons for HCWs’ ability and willingness to follow guidelines regarding respiratory infections were investigated in a Cochrane review 51 : Insecurity on how to handle guidelines, frequently changing guidelines, the resulting additional workload and fatigue, little support, uncomfortable PPE and unwanted effects on the patients (for instance through covering parts of the face by a mask) were described as negative factors. On the other hand, a clear communication, training on how to use PPE and seeing the value of the recommended measures were deemed positive.…”

The Formulation of Epidemic Prevention Work of COVID-19 for Colleges and Universities: Priorities and Recommendations

“…In addition, the top leaders of epidemic prevention must grasp the health status of all faculty and staff and confirm whether anyone has contracted COVID-19. The establishment of information systems, the planning of epidemic prevention budgets, the control of epidemic prevention materials, and thorough inspections of personnel entry and exit, etc., are all critical items in this dimension [11,12]. Table 2 introduces the criteria and descriptions included in D1.…”